David Charles Wilson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0256 Issued in MS

Practice address

116 Dumaine PL
Madison, MS 39110-9234

Phone

(662) 378-7888

Fax

(601) 853-2990

NPI assigned

Mar 6, 2014

Last updated

Mar 6, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Innovative Behaviorals Services, Inc.

  • Clinical Social Worker
  • Ridgeland, MS
  • NPI 1578578092
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394064000000",
    "number": "1184040800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 DUMAINE PL",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391109234",
            "telephone_number": "662-378-7888",
            "fax_number": "601-853-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 DUMAINE PL",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391109234",
            "telephone_number": "662-378-7888",
            "fax_number": "601-853-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DAVID",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-06",
        "last_updated": "2014-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "0256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marvin Williams II, OTR/L
• Sharron Uleskia Williams, LMSW
• Lauren Egger Williamson, MD
• Leah Dedeaux Williamson, LPC
• Clinton Aaron Wilson, P-LPC, MAMFT
• Sarah Linfield Wilson, P-LPC, MAMFT
• Tyler Wayne Winford, M.D.
• Winston T Capel,M.D.,PA
• Arthur Eugene Wood IV, M.D.
• Courtney Camille Woods, LMSW

• Professional Counselor in Madison, MS
• Providers in Madison, MS by specialty
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.